Individual
ANDREA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29416 HARTFORD DR, MENIFEE, CA 92584-6606
(562) 522-7367
Mailing address
29416 HARTFORD DR, MENIFEE, CA 92584-6606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717377
CA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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